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Nebraska rates for HCPCS 74175

Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.39 / $276.10 / $747.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.33 / $438.48 / $1,565.46
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.39 / $192.43 / $235.43
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$163.94 / $168.49 / $1,053.10
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.30 / $157.68 / $192.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.88 / $486.22 / $509.89
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$150.66 / $161.03 / $170.55
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$304.23 / $325.18 / $339.36
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$475.26 / $475.26 / $475.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.71 / $599.67 / $912.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.04 / $188.26 / $243.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.09 / $406.85 / $668.07
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$801.92 / $801.92 / $801.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.60 / $633.00 / $3,101.53
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.89 / $174.67 / $660.44
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$277.89 / $470.29 / $2,625.91
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$293.94 / $302.50 / $475.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.65 / $631.94 / $912.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.79 / $238.14 / $568.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.89 / $625.99 / $755.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.88 / $172.05 / $214.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$277.89 / $457.28 / $519.66